Provider Demographics
NPI:1558410944
Name:MICHAEL D BELLON DDS MS PC
Entity Type:Organization
Organization Name:MICHAEL D BELLON DDS MS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:BELLON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:303-692-9610
Mailing Address - Street 1:7200 E HAMPDEN AVE
Mailing Address - Street 2:#203
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3021
Mailing Address - Country:US
Mailing Address - Phone:303-692-9610
Mailing Address - Fax:303-692-9680
Practice Address - Street 1:7200 E HAMPDEN AVE
Practice Address - Street 2:#203
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3021
Practice Address - Country:US
Practice Address - Phone:303-692-9610
Practice Address - Fax:303-692-9680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO66231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty